PD Dr. Ralf Buhl brings _doctor_199_years_ of neurosurgery experience and has performed 4,000+ procedures, specializing in spinal cord tumor removal. The package typically costs around $36,460 – covering microsurgery with computer-assisted navigation, 4-7 days of hospitalization, and rehabilitation services. As Medical Director at this University of Cologne-affiliated hospital, Dr. Buhl utilizes intraoperative MRI and minimally invasive techniques. His credentials include co-founding the Brain Tumor Study Foundation and treating high-profile international patients.
Medical Center in Solingen is an Academic Hospital of the University of Cologne. It ranks among Germany's top clinics by Focus magazine. Core specialties include neurosurgery, gastroenterology and cancer, and the breast center.
Helios Gesundheit is a multispecialty hospital network across Germany. Key departments include cardiology, gastroenterology, oncology, and orthopedics. The group also offers specialized pediatric care and maternity services. The network treats around 5.5 million people each year. About 78,000 employees support these clinical operations. Several locations are teaching hospitals for the University of Witten-Herdecke.
The network holds many certifications from the German Society of Cardiology. These include recognitions for Chest Pain Units and Heart Failure Units. Specialized centers are also certified for hernia surgery and trauma care. Oncology departments include DKG-certified centers for breast and skin cancer. Clinics use advanced technology like the Da Vinci robotic system. Specialized teams also perform custom-made shoulder joint replacements for complex cases.
","text_type":"short_description","best_texts":{"techniques":"Minimally invasive microsurgery","why_its_ranked":"Uses minimally invasive microsurgery to remove spinal cord tumors. German Cancer Society neuro-oncology seal and German Spine Society certification ensure specialized care."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":19970.51300278543,"price_to":27736.823614979763,"currency":"USD","id":56486},"operation":{"id":119,"name":"Removal of spinal cord tumor","alias":"removal-of-spinal-cord-tumor"}},{"prices":{"price_from":887.5783556793524,"price_to":1331.3675335190287,"currency":"USD","id":56469},"diagnostic":{"id":6,"name":"MRI of one area","alias":"mri-one-department"}},{"prices":{"price_from":221.8945889198381,"price_to":443.7891778396762,"currency":"USD","id":56468},"diagnostic":{"id":37,"name":"Ultrasound","alias":"u.s."}}],"reviews":[],"clinic":{"id":7769,"alias":"helios-universitaetsklinikum-wuppertal","name":"Helios Gesundheit","short_description":"Helios Gesundheit is a multispecialty hospital network across Germany. Key departments include cardiology, gastroenterology, oncology, and orthopedics. The group also offers specialized pediatric care and maternity services. The network treats around 5.5 million people each year. About 78,000 employees support these clinical operations. Several locations are teaching hospitals for the University of Witten-Herdecke.
The network holds many certifications from the German Society of Cardiology. These include recognitions for Chest Pain Units and Heart Failure Units. Specialized centers are also certified for hernia surgery and trauma care. Oncology departments include DKG-certified centers for breast and skin cancer. Clinics use advanced technology like the Da Vinci robotic system. Specialized teams also perform custom-made shoulder joint replacements for complex cases.
","images":[{"base_url":"clinic/6ac8a229ace62","title":"Helios Klinik Rottweil main entrance, modern brick medical facility in Germany"},{"base_url":"clinic/6ac8a22b7b107","title":"Modern glass facade of Helios Klinikum Krefeld hospital in Germany"},{"base_url":"clinic/6ac8a22d81c1d","title":"Helios Klinik Wesermarsch exterior view in Germany with modern building and flags"},{"base_url":"clinic/6ac8a22f88955","title":"Helios Klinik Wesermarsch modern clinic building in Germany"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Germany","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Wuppertal","id":2687,"alias":"wuppertal"},"address":"Heusnerstraße 40, 42283 Barmen, Germany"},"rating":{"rating":0,"google":3.4,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":51},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/614dbaf74d46e.jpeg","name":"International Accreditation System for Interventional Oncology Services (IASIOS)"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db9832f9d8cf.jpeg","name":"German Cancer Society","country_code":"DE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6841934325139.jpeg","name":"ISO 9001:2015 Quality management systems"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88caba297f8.jpeg","name":"Fellow, American College of Surgeons","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Bremen-Ost Clinic specializes in neurology and neurosurgery, recognized among Germany's top medical facilities by Focus magazine. The hospital treats over 19,000 patients annually with high success rates.
","text_type":"mt_wow_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":1800,"price_to":3000,"currency":"USD","id":14472},"diagnostic":{"id":1,"name":"PET/CT","alias":"pet-ct"}},{"prices":{"price_from":150,"price_to":500,"currency":"USD","id":16277},"diagnostic":{"id":37,"name":"Ultrasound","alias":"u.s."}}],"reviews":[],"clinic":{"id":404,"alias":"bremen-ost-clinic","name":"Bremen-Ost Clinic","short_description":"Bremen-Ost Clinic is a lung surgery and neurology specialist, part of the Gesundheit Nord hospital network. The Pulmonary Center is certified by the German Cancer Society as a leading lung treatment center. Around 19,000 patients choose this clinic each year.
Dr. Ralf Buhl is a neurosurgeon who has performed over 4,000 successful surgeries. He heads the Neurosurgery Department at the Medical Center in Solingen. Dr. Buhl is a Doctor of Medical Sciences specializing in minimally invasive and endoscopic techniques. He focuses on treating brain tumors, spinal pathologies, and peripheral nervous system disorders.
Medical Center in Solingen is an Academic Hospital of the University of Cologne. It ranks among Germany's top clinics by Focus magazine. Core specialties include neurosurgery, gastroenterology and cancer, and the breast center.
Prof. Dr. Andreas Sesterhenn leads complex oncological surgeries at this Academic Hospital of the University of Cologne. The clinic is certified by the German Cancer Society and uses a unique two-team surgical approach. One specialized team removes the tumor while a parallel team prepares tissue grafts for immediate reconstruction. This multidisciplinary method helps manage defects during procedures that can last up to 12 hours. Prof. Dr. Sesterhenn is a widely published expert in head and neck oncology.
","text_type":"mt_wow_description","best_texts":{"techniques":"Organ-preserving surgery, two-team surgery with tissue transplantation, laser therapy, rapid biopsy during surgery","good_fit_for":"Complex cases other doctors considered inoperable","why_its_ranked":"University of Cologne Throat and Neck Tumour Centre. Two-team surgery for advanced cases: one removes the tumour, one prepares tissue reconstruction. Accepts patients deemed inoperable elsewhere; 2,000+ complex cases yearly."},"additional_data":{"advertising_id":"268:illness_kind:10"},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":12000,"price_to":28000,"currency":"USD","id":12469},"operation":{"id":687,"name":"Tongue cancer surgery","alias":"tongue-cancer-surgery"}},{"prices":{"price_from":800,"price_to":1000,"currency":"USD","id":28143},"diagnostic":{"id":190,"name":"Whole-body MRI","alias":"whole-body-mri"}},{"prices":{"price_from":170,"price_to":170,"currency":"USD","id":13490},"diagnostic":{"id":37,"name":"Ultrasound","alias":"u.s."}}],"reviews":[],"clinic":{"id":268,"alias":"medical-center-in-solingen","name":"Medical Center in Solingen","short_description":"Medical Center in Solingen is an Academic Hospital of the University of Cologne. It ranks among Germany's top clinics by Focus magazine. Core specialties include neurosurgery, gastroenterology and cancer, and the breast center.
Why do patients choose Germany for the removal of spinal cord tumors?
\nAccess advanced Removal of spinal cord tumor solutions in trusted clinics [from-cost].
"},"txt_price":{"text":"The cost for removal of spinal cord tumor in Germany ranges from _op_119_price_from_ to _op_119_price_to_. The final price typically depends on the tumor type, its location within the spinal cord, and the surgical technique used. In the US, similar procedures cost around _price_compare_US_average_ on average. Patients save around _price_percent_discount_% compared to the US. This price typically includes pre-operative imaging, microsurgery, and inpatient care.
\n\nBookimed Expert Insight: Real value in Germany lies in high-tech surgical navigation. Asklepios Nord Clinic uses intraoperative MRI developed by world-class experts like Dr. Paul Kremer. This technology ensures more precise tumor removal. Patients should look for clinics accredited by the German Cancer Society and KTQ. These certifications, found at centers like Solingen and Nordrhein-Westfalen, guarantee standardized, high-quality neurosurgical care.
"},"trust_block":{"text":"As the leading global medical tourism platform, Bookimed.com provides reliable information on medical services from around the world. If you are looking for information on Removal of spinal cord tumor in Germany, we have got you covered. We have a huge responsibility to our clients — both patients and medical centers, and we strive to deliver high quality, trustworthy information.
\nOur listings of clinics and doctors are formed with strict regulations of our smart automatic ranking system. The system is based on real Bookimed patient rates to provide the most objective and transparent information about clinics and medical services there. To ensure accuracy, our experienced data scientist collects data daily, monitors and optimizes the ranking system using machine learning and artificial intelligence.
\nWe collect the opinions of Bookimed clients only after getting medical experience with the clinic, so everyone on the platform can trust the facility they choose. We publish positive and negative reviews to provide informed decision-making for our future clients.
\nOn Bookimed.com, you can find the best medical solutions from top medical service providers, including information on Removal of spinal cord tumor in Germany. We ensure that the information presented is up-to-date and trustworthy, as clinics\" representatives update doctors\" CVs, clinics\" capacities, before-after pictures, prices, packages, and specials by themselves. You may meet the clinic\"s representative and check the date of updated content at every clinic\"s page to ensure its trustworthiness.
\nOur blog and supportive pieces are created by professional authors with at least 3-year experience in medical writing and edited by medical specialists with relevant clinical and research expertise. We strive to enhance patient access to health information, making it expert but easy to understand. All pieces follow the Bookimed\"s Editorial Guidelines.
\nWe are made of people and for people, and that\"s our core value. That\"s why all the data presented on the platform is collected, edited, reviewed, and updated regularly by our patients, partner clinics, and our team, including the Bookimed Medical Advisory Board, which consists of world-renowned doctors with over 20 years of practice and a positive reputation. Learn more about us and our mission.
\nIf you have any questions or find any mistakes in the information presented on Bookimed.com, please feel free to contact us at marketing@bookimed.com.
"}},"texts":{"guide_mc":{"text":"Day 1 - Arrival
\nDay 2 - Pre-operation
\nDay 3 - Operation
\nDay 4 - Post-operation
\nDay 5 to Day 7 - Recovery
\nWeek 2 to Week 6 - Rehabilitation
\nWeek 7 onwards
\nPlease note that each recovery process varies individually, depending on several factors such as the patient\"s overall health status, the size and location of the tumor, and the patient\"s response to the surgery and rehabilitation program.
"}}},"faq":[{"id":"69b2f81e9b9a6b0b83053092","question":"Which hospitals in Germany are top-rated for neurosurgery?","answer":"Germany features some of the worlds most prestigious neurosurgery departments, led by Charité – Universitätsmedizin Berlin and University Hospital Heidelberg. These centers excel in treating complex brain tumors and cerebrovascular disorders. They utilize advanced technologies like intraoperative MRI and computer-assisted neuronavigation to maximize procedural success.
Bookimed Expert Insight: Data shows that choosing high-volume centers often leads to more conservative treatment recommendations. At Medical Center Solingen, which treats 60,000+ patients yearly, surgeons frequently suggest physiotherapy over immediate surgery if risks appear high. This volume-based expertise ensures patients only undergo operations when statistically necessary for recovery.
Patient Consensus: Patients note that German specialists are very cautious and will explain all risks before proceeding. Many emphasize the comfort of modern facilities, though some mention that having a translator is helpful for navigating administrative paperwork.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"69b2f9049b9a6b0b83053094","question":"What are the reported success rates for high-complexity neurosurgery in Germany?","answer":"High-complexity neurosurgery in Germany demonstrates exceptional safety. Spinal fusions reach a 99% success rate. Primary brain tumor resections maintain a 97% survival rate. Functional independence is high. Over 82% of patients discharge directly home after treatment. German centers prioritize preserving neurological function using advanced mapping.
Bookimed Expert Insight: High-volume surgeons like Dr. Uwe Kehler at Asklepios Altona Clinic perform 2,000+ operations annually. Data shows these experts maintain success rates up to 90% for the most complex cerebral tumors. Choosing a specialist with 4,000+ personal surgeries, such as Dr. Ralf Buhl, ensures technical precision gathered over decades of practice.
Patient Consensus: Patients note that German surgeons often prioritize physical function over aggressive tumor removal. It is important to write down all questions in advance to make the most of short consultations with busy professors.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"69b2f9e2c62eefccdb059702","question":"What advanced technologies are routinely available in German neurosurgical clinics?","answer":"German neurosurgical clinics routinely integrate high-precision digital tools and real-time imaging into surgical practice. Core technologies include computer-assisted neuronavigation for brain and spinal procedures. Facilities like Asklepios Nord Clinic use intraoperative MRI to verify tumor removal in real time. These systems provide a 3D GPS for surgeons.
Bookimed Expert Insight: High-volume centers like Charité – Universitätsmedizin Berlin perform 4,000+ neurosurgeries annually, creating a data-rich environment for refining robotic protocols. Medical Center in Solingen offers specialized packages for herniated disc surgery including preoperative diagnostics. This volume allows German clinics to negotiate better rates for consumables, keeping advanced tech accessible.
Patient Consensus: Patients note that modern German clinics significantly reduce recovery times compared to older surgical methods. Many describe the experience as less painful due to smaller incisions and highly competent staff who explain every technical risk clearly.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"69b2fa588cf5d8b9280859e2","question":"What specialist training do practicing neurosurgeons in Germany complete?","answer":"Neurosurgeons in Germany must complete 6 years of specialized residency training after medical school. This structured program includes intensive care, clinical practice, and a mandatory surgical log. Candidates then pass a state board exam to earn the title Facharzt für Neurochirurgie.
Bookimed Expert Insight: German neurosurgery training emphasizes high-volume surgical experience. For example, Dr. Ralf Buhl at Medical Center in Solingen has performed 4,000+ surgeries. Dr. Jürgen Kiwit at Meoclinic Hospital brings 25+ years of expertise. This rigorous system ensures that specialists at major centers manage complex cases with proven precision.
Patient Consensus: Patients feel confident knowing their doctors underwent years of strict, state-monitored training. Many note that the detailed documentation of a surgeon's past procedures provides significant peace of mind before surgery.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"69b2fb078e7964918b0b74e2","question":"What language and licensure requirements apply to international surgeons aiming to train or observe neurosurgery cases in Germany?","answer":"International neurosurgeons must meet strict language and licensure standards to train or observe in Germany. Training requires a full medical license or temporary permit. Observers need hospital-specific approval. Both paths demand high-level German proficiency to participate in clinical discussions and follow complex surgical protocols safely.
Bookimed Expert Insight: German clinics with high patient volumes, like Nordwest Clinic or Asklepios Nord, often prioritize candidates who have already secured their preliminary document evaluation. Our data shows that professors like Dr. Uwe Kehler and Dr. Paul Kremer manage thousands of cases annually. Demonstrating German B2 level early can bypass many bureaucratic delays in these busy departments.
Patient Consensus: Patients note that the language barrier is significant. They emphasize that while some international staff help, having a translator or a German-speaking doctor is vital for clear communication.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"69b2fb98dd9843dadb048d82","question":"Does Germany have enough neurosurgeons to handle both domestic and international patient volumes?","answer":"Germany maintains the highest density of neurosurgeons in Europe with 2.94 specialists per 100,000 residents. This robust workforce easily manages international volumes through 184 dedicated departments. Key facilities like Charite Berlin perform 4,000+ surgeries annually. High specialist availability ensures additional capacity for complex global cases.
Bookimed Expert Insight: While Germany has high specialist numbers, top-tier professors like Dr. Ralf Buhl or Dr. Uwe Kehler are often concentrated in major hubs like Hamburg or Solingen. Our data shows these high-volume centers actually offer faster access for international patients than smaller clinics. Large academic hospitals maintain dedicated tracks for complex cases, effectively bypassing local capacity bottlenecks found in rural areas.
Patient Consensus: Patients often note that while surgeons are highly professional, clear communication about reports can sometimes take time. One patient mentioned that recovery periods in German clinics are now much shorter and less painful than in previous decades.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}}],"faqInSchema":false,"relations":{"countries":[{"name":"Azerbaijan","alias":"azerbaijan","iso_code":"AZ"},{"name":"China","alias":"china","iso_code":"CN"},{"name":"Egypt","alias":"egypt","iso_code":"EG"},{"name":"Germany","alias":"germany","iso_code":"DE"},{"name":"Greece","alias":"greece","iso_code":"GR"},{"name":"India","alias":"india","iso_code":"IN"},{"name":"Israel","alias":"israel","iso_code":"IL"},{"name":"Italy","alias":"italy","iso_code":"IT"},{"name":"Mexico","alias":"mexico","iso_code":"MX"},{"name":"Republic of Korea","alias":"republic-of-korea","iso_code":"KR"},{"name":"Spain","alias":"spain","iso_code":"ES"},{"name":"Switzerland","alias":"switzerland","iso_code":"CH"},{"name":"Thailand","alias":"thailand","iso_code":"TH"},{"name":"Turkey","alias":"turkey","iso_code":"TR"},{"name":"Ukraine","alias":"ukraine","iso_code":"UA"},{"name":"United Arab 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(HIPEC)","alias":"hyperthermic-intraperitoneal-chemotherapy"},{"name":"Оophorectomy","alias":"oophorectomy"},{"name":"Orchiectomy","alias":"orchiectomy"},{"name":"Lobectomy","alias":"lobectomy"},{"name":"The Wertheim-Meigs operation","alias":"the-wertheim-meigs-operation"},{"name":"Bone resection","alias":"resection-of-the-bone"},{"name":"Gastric polyps removal","alias":"polypectomy"},{"name":"Complex treatment of thyroid cancer","alias":"complex-treatment-of-thyroid-cancer"},{"name":" Immunotherapy with Keytruda (Pembolizumab)","alias":"keytruda"},{"name":" Therapy with radioactive iodine in thyroid cancer","alias":"treatment-of-thyroid-cancer-with-radioactive-iodine"},{"name":"Thymectomy","alias":"thymectomy"},{"name":"Radiation therapy for colorectal cancer","alias":"radiation-therapy-for-colorectal-cancer"},{"name":"Radiofrequency ablation of the liver","alias":"radiofrequency-ablation-of-the-liver"},{"name":"Chemotherapy for liver 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Recurrence risk varies with tumor type and extent of resection, so surveillance MRI is needed.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Reoperation for CSF leak, hematoma, wound problems or instability within first year; excludes tumor recurrence surgery."},"scars":"Midline linear posterior incision over the affected spinal levels, length depending on number of levels; usually heals as a fine line scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation in the usual uncomplicated case."},"stages":[{"code":"resection","label":"Laminectomy/laminoplasty with microsurgical tumor resection","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed in one operative session."}}],"qualifier":"Staged surgery or adjuvant radiotherapy are case-specific and not part of the typical standalone protocol."},"success":{"metric":"Gross total resection of intradural spinal tumor","value":85,"unit":"percent of patients","horizon":"Postoperative MRI, 3 months","population":"Adults with resectable intradural spinal cord tumors, mainly schwannoma, meningioma, ependymoma","evidence_status":"limited"},"techniques":[{"name":"Posterior laminectomy or laminoplasty with microsurgical resection and intraoperative neuromonitoring","suits_whom":"Most intradural extramedullary and intramedullary tumors accessible from the back.","recovery":"Inpatient stay of several days followed by weeks of gradual recovery."},{"name":"Minimally invasive (tubular) approach","suits_whom":"Selected small extramedullary tumors at limited levels.","recovery":"May allow less muscle trauma and somewhat shorter stay in selected cases."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":8,"unit":"hours","qualifier":"Operative time for a single uncomplicated tumor resection; varies with tumor type, location and levels."},"initial_assessment_documents":["Spine MRI with contrast","Spine MRI DICOM images on disc or link","Neurological examination report","Biopsy or prior histology report (if available)","Spine CT or X-ray (if available)","List of blood thinners"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"One operation, 7-14 days stay. Follow-up MRI and histology review can be remote; second trip only for adjuvant therapy."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"The surgeon should explain the procedure, its limitations, alternatives, and risks or complications","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"what the procedure involves the limitations of a procedure what alternative procedures there are any risks or complications","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Ask what happens if complications occur and where follow-up appointments will be","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"what happens if there are complications where follow-up appointments will be what happens if you need more surgery after the original procedure – how easily can you travel back to the destination where you had the surgery? how much it'll cost","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check the surgeon’s training and qualifications","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"- what training and qualifications they have","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Ask how many procedures like yours the surgeon has performed","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"- how many procedures like the one you're having they have done","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The provider cannot say what happens if complications occur","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"what happens if there are complications where follow-up appointments will be what happens if you need more surgery after the original procedure – how easily can you travel back to the destination where you had the surgery? how much it'll cost","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"The surgeon does not explain the procedure, limitations, alternatives, risks, or complications","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"- what the procedure involves - the limitations of a procedure - what alternative procedures there are - any risks or complications","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"New numbness, weakness, or balance trouble","urgency":"emergency","general":false,"source":{"url":"https://www.mayoclinic.org/diseases-conditions/spinal-tumor/symptoms-causes/syc-20591793","host":"mayoclinic.org","quote":"A growing tumor can press on spinal nerves or the spinal cord, causing numbness, weakness, balance trouble or, when severe, paralysis.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W2","text":"New bladder or bowel problems","urgency":"emergency","general":false,"source":{"url":"https://www.mayoclinic.org/diseases-conditions/spinal-tumor/symptoms-causes/syc-20591793","host":"mayoclinic.org","quote":"If a tumor compresses certain nerves, it may cause trouble with bladder or bowel function.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W3","text":"Fast changes in symptoms","urgency":"contact_clinic","general":false,"source":{"url":"https://www.mayoclinic.org/diseases-conditions/spinal-tumor/symptoms-causes/syc-20591793","host":"mayoclinic.org","quote":"New symptoms or fast changes need urgent evaluation by your care team.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Radiation is appropriate in addition to surgery","name":"Radiation therapy","source":{"url":"https://www.hopkinsmedicine.org/health/conditions-and-diseases/spinal-cord-tumor-overview","host":"hopkinsmedicine.org","quote":"Surgery to remove all or part of the tumor\nRadiation therapy, which is sometimes used in addition to surgery","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403},"operation_id":null},{"id":"A2","text":"Chemotherapy is appropriate for your spinal cord tumor","name":"Chemotherapy","source":{"url":"https://www.hopkinsmedicine.org/health/conditions-and-diseases/spinal-cord-tumor-overview","host":"hopkinsmedicine.org","quote":"Surgery to remove all or part of the tumor\nRadiation therapy, which is sometimes used in addition to surgery\nChemotherapy","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403},"operation_id":37},{"id":"A3","text":"You need medication to lessen swelling","name":"Corticosteroid medications","source":{"url":"https://www.hopkinsmedicine.org/health/conditions-and-diseases/spinal-cord-tumor-overview","host":"hopkinsmedicine.org","quote":"Surgery to remove all or part of the tumor\nRadiation therapy, which is sometimes used in addition to surgery\nChemotherapy\nCorticosteroid medications to lessen swelling","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"posterior-laminectomy-or-laminoplasty","name":"Posterior laminectomy or laminoplasty with microsurgical resection and intraoperative neuromonitoring","how_it_works":null,"recovery_daily":null},{"id":"minimally-invasive-approach","name":"Minimally invasive (tubular) approach","how_it_works":{"text":"Small instruments move healthy tissues aside through a small incision","source":{"url":"https://www.hopkinsmedicine.org/neurology-neurosurgery/specialty-areas/spine/centers/minimally-invasive-spine-surgery","host":"hopkinsmedicine.org","quote":"Surgical tools such as the endoscope and the special retractor tubes allow our surgeons to move healthy tissues aside to access the problem in the spine through a small incision.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},"recovery_daily":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=germany/procedure=udalenie-opuholi-spinnogo-mozga/"}],"offerFilters":{"offer_count":0,"country_filter":[{"id":46,"name":"Turkey","alias":"turkey","iso_code":"TR"}],"price_filter":{"from":0,"to":0,"avg":0}},"offersBlock":{},"illnessesByOperation":[{"id":91,"alias":"spinal-cord-abscess","name":"Spinal cord abscess"}],"rendersOffersList":false,"fewClinics":false,"topCountriesCount":0}